Cross Infection
Conditions
Brief summary
The environmental impact of healthcare practice in the context of climate change is in the spotlight. Digestive endoscopy units are the third hospital unit that generates the most waste and environmental impact. For this reason, scientific societies advice studying and adopting more sustainable clinical practices, reconsidering current protocols for reprocessing and disinfection of single-use material. One of the devices, widely used and which generates a large amount of waste, is the polyp trap. It allows an easy recovery of the polyps removed during endoscopy. This device is discarded after a single use in some centers, and reused after washing and disinfection in others. Manufacturers recommend the single-use of the device, even there is no scientific evidence to support this action. In the investigators endoscopy unit, 3800 polyp traps are used yearly. The investigators hypothesis is that reusing the polyp catcher has similar safety to disposal after a single use, with better environmental and economic results. Objectives: To evaluate the safety of the reused and discarded after a single-use polyp trap. The investigators will assess 1) the post-colonoscopy infection rate and 2) the reliability of the anatomopathological study, 3) CO2 emissions and 4) costs of each practice. Methodology: A non-inferiority study will be carried out by observing the usual clinical practice of different centers and collecting data that suggest infection, cross-sampling and general complications. The results will be easily applicable in endoscopy units and will serve as a basis for future studies with other more controversial devices.
Interventions
OTHERReuse or dispose a polyp trap
Participant hospitals will be separated into two groups, according to their standard clinical practice: A) reuse or B) dispose polyp traps after a colonoscopy with polypectomy. Centres will participate with their current method of using polyp traps. Work dynamics will not change as patients will be recruited from centers that routinely reuse or dispose polyp traps.
Sponsors
Germans Trias i Pujol Hospital
Consorci Sanitari de Terrassa
Hospital Clinic of Barcelona
Hospital Universitario La Fe
Hospital Sant Bernabé de Berga
Hospital Dos de Maig
Hospital Universitari Joan XXIII de Tarragona.
Centro Medico Teknon
Clínica Mi Tres Torres Barcelona
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* All patients who undergo an elective colonoscopy will be recruited for the study. * Written informed consent to participate in the study and willingness to be contacted by telephone for follow-up.
Exclusion criteria
* Patients who complete the colonoscopy without a polypectomy. * Patients who complete the colonoscopy without the use of a polyp trap.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with symptoms suggesting infection | Follow up at day 15 | Did the patient present any of the following symptoms or diagnosis after the endoscopy? * Fever * Bacteraemia * Bronchoaspiration / Pneumonia * Other: Comments: * None |
| Number of infectious events related to endoscopy | Follow up at day 15 | Was the event related to the endoscopy procedure? Yes / Probably / Doubtfully / No |
| Number of infectious events related to polyp trap | Follow up at day 15 | Was the event related to the polyptrap? Yes / Probably / Doubtfully / No |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of inconsistent anatomopathological results | Follow up at day 15 | Was the anatomopathological finding consistent with the findings in the endoscopy? |
Contacts
Primary ContactOliva Ros Fargas, nurse
Outcome results
None listed